RESIDENTIAL USE ONLY – INITIAL EVERY ITEM ON THE SHEET – DATE STAMP

NAME: ___

NAME:NAME

BLOCK: ___ LOT: ___

LOT:LOT
BLOCK:BLOCK

PERMIT NUMBER: ___

PERMIT NUMBER:PERMIT NUMBER

ADDRESS: ___

ADDRESS:ADDRESS

Live Load: ___ Occupant Load: ___ Construction Class: ___ Registration Certification: ___

Occupant Load:Occupant Load
Registration Certification:Registration Certification
Construction Class:Construction Class
Live Load:Live Load

CO APPLICATION: ___

CO APPLICATION:CO APPLICATION

RESPONSIBLE PERSON TO SIGN MUST BE LEGIBLE ON JACKET

COST OF CONSTRUCTION: ___

COST OF CONSTRUCTION:COST OF CONSTRUCTION

HOMEOWNERS WARRANTY: #_____ PRIVATE _____ STATE _____

HOMEOWNERS WARRANTY:HOMEOWNERS WARRANTY: #
PRIVATEPRIVATE
STATESTATE

CERTIFICATE OF COMPLIANCE: WELL ___ SEPTIC ___

CERTIFICATE OF COMPLIANCE: WELLCERTIFICATE OF COMPLIANCE: WELL
SEPTICSEPTIC

CERTIFICATE FEE: ___ DATE PAID

CERTIFICATE FEE:CERTIFICATE FEE

FINAL BUILDING: ___

FINAL BUILDING:FINAL BUILDING

FINAL ELECTRIC: ___

FINAL ELECTRIC:FINAL ELECTRIC

FINAL FIRE: ___

FINAL FIRE:FINAL FIRE

FINAL PLUMBING: ___

FINAL PLUMBING:FINAL PLUMBING

FINAL ELEVATOR: ___

FINAL ELEVATOR:FINAL ELEVATOR

FINAL MECHANICAL: _____

FINAL MECHANICAL:FINAL MECHANICAL

FINAL ENGINEERING:

APPROVED: ___ OR, CONDITIONAL: ___

OR, CONDITIONAL:OR, CONDITIONAL
APPROVED:APPROVED

FRAMING & INSULATION CHECKLIST

CHECKLISTCHECKLIST

AIR DUCT LEAKAGE CERT. TEST ___

TESTTEST

CERTIFICATION FROM STATE: ___

CERTIFICATION FROM STATE:CERTIFICATION FROM STATE

[ROOMING & BOARDING HOUSE ACT]

BOND POSTED: ___

BOND POSTED:BOND POSTED

SOILS COMPLIANCE:

COMPLETE: ___ OR, CONDITIONAL: ___

OR, CONDITIONAL:OR, CONDITIONAL
COMPLETE:COMPLETE

[EXPIRATION DATE]

OPEN PERMITS OR UPDATES: ___

OPEN PERMITS OR UPDATES:OPEN PERMITS OR UPDATES

WATER ANALYSIS/LAB: EXPIRATION DATE OCEAN COUNTY BOARD OF HEALTH

WATER ANALYSIS/LAB: EXPIRATION DATWATER AN ALYSIS/LAB: EXPIRATION DATE

M.U.A. APPROVAL: WATER ___ SEWER ___

SEWERSEWER
MUA APPROVAL: WATERMUA APPROVAL: WATER

DUMP RECEIPTS: ___

DUMP RECEIPTS:DUMP RECEIPTS

ZONING APPROVAL: ___

ZONING APPROVAL:ZONING APPROVAL

TREE REMOVAL RELEASE FROM ZONING: ___

TREE REMOVAL RELEASE FROM ZONING:TREE REMOVAL RELEASE FROM ZONING

DEVELOPMENT FEES: [PRE & FINAL] ___

DEVELOPMENT FEES: [PRE & FINAL]DEVELOPMENT FEES: [PRE & FINAL]

VERIFICATION OF COAH ROUND 3 PAYMENT - SEE ZONING

[PAYMENT MUST BE PAID BEFORE CO IS ISSUED]

SINGLE FAMILY RESIDENTIAL DWELLING: ___

SINGLE FAMILY RESIDENTIAL DWELLING:SINGLE FAMILY RESIDENTIAL DWELLING

MAJOR DEVELOPMENT SUB DIVISION: ___

MAJOR DEVELOPMENT SUB DIVISION:MAJOR DEVELOPMENT SUB DIVISION

PINELANDS APPROVAL: ___

PINELANDS APPROVAL:PINELANDS APPROVAL

FINAL TREE REMOVAL: ___

FINAL TREE REMOVAL:FINAL TREE REMOVAL

[FROM ENGINEERING]

ROAD AGREEMENT: ___

ROAD AGREEMENT:ROAD AGREEMENT

MOTHER/DAUGHTER: ___

MOTHER/DAUGHTER:MOTHER/DAUGHTER

[NEED DEED RESTRICTION-COPY OF LETTER FROM LAWYER APPROVE BY THE ZONING OFFICIAL]

OPEN VIOLATION NOTICES: ___

OPEN VIOLATION NOTICES:OPEN VIOLATION NOTICES

[VERIFY AND PROVIDE COPY TO SUBCODE FOR ACTION FOR CLOSURE]

CONTACT NAME: ___ HOMEOWNERS WARRANTY: #___ PRIVATE ___ STATE ___

CONTACT NAME:CONTACT NAME

PHONE NUMBER: ___

PHONE NUMBER

APPROVED: ___ TEMPORARY C/O: ___

TEMPORARY C/O:TEMPORARY C/O
APPROVED:APPROVED
DENIED

[DATE AND REASON]

PENDING

REJECTED: ___

REJECTED:REJECTED